Individual provider · Type 1 NPI
Mark David Fralick, LADC
Addiction (Substance Use Disorder) Counselor · Boston, MA
NPI number
1912440181
Active
Practice location
675 E 4th St
Boston, MA 02127-3063
Fax (857) 496-0177
Mailing address
121 Intervale St
Brockton, MA 02302-1761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13521 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1912440181
Mark David Fralick, LADC's National Provider Identifier is 1912440181, issued on Nov 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Nov 21, 2016.